TIMOTHY A MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119820

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

MATHIS

Business Name

TIMOTHY A MATHIS

Original Issue Date

01/13/1998

Effective Date

01/13/1998

Expiration Date

03/31/2001

City

HENRY

State

Zip

61537

County

MARSHALL

Ever Disciplined

LastModifiedDate

10/21/2005